<!DOCTYPE html>
<html lang="en">
<head>
  <meta charset="UTF-8">
  <title>会员卡管理-办卡</title>
  <link rel="stylesheet" type="text/css" href="../../../themes/default/easyui.css">
  <link rel="stylesheet" type="text/css" href="../../../themes/icon.css">
  <script type="text/javascript" src="../../../easyui/js/jquery.min.js"></script>
  <script type="text/javascript" src="../../../easyui/js/jquery.easyui.min.js"></script>
  <style>
    body {
      font-size: 14px;
      padding: 0;
      margin: 0;
    }
    a {
      display: inline-block;
      text-decoration: none;
      color: #000;
      padding: 0;
      margin: 0;
    }
    .container{
      width: 630px;
    }
    .form-content{
      display: flex;
      flex-wrap: wrap;
      margin-left: 20px;
      margin-bottom: 20px;
    }
    .form-item{
      width: 285px;
      display: flex;
      align-items: center;
      height: 30px;
      line-height: 30px;
      margin-right: 20px;
      margin-top: 20px;
    }
    .form-item label{
      text-align: right;
      display: block;
      width: 135px;
    }
    .top-up-amount-form-item{
      width: 610px;
      display: flex;
      align-items: center;
      margin-top: 20px;
    }
    .top-up-amount-form-item .top-up-amount-form-item-label{
      text-align: right;
      display: block;
      width: 135px;
    }
    .top-up-amount-form-item .radio-content{
      display: flex;
      align-items: center;
      margin-right: 20px;
    }
    .top-up-amount-form-item .radio-content .textbox-label{
      width: auto !important;
    }
    .member-list{
      margin-left: 30px;
    }
    .submit{
      margin: 50px auto;
      width: 170px;
      height: 35px;
      line-height: 35px;
      text-align: center;
      font-size: 16px;
      border-radius: 5px;
      border: 1px solid;
      cursor: pointer;
      background-color: rgba(64, 158, 255, 1);
      color: #ffffff;
    }
  </style>
</head>
<body>
  <div class="container">
    <form class="form-content" id="inquire-form" method="post">
      <div class="form-item">
        <label for="handlingMethod">办理方式：</label>
        <select id="handlingMethod" class="easyui-combobox" placeholder="请选择" name="dept" style="width:130px;height: 30px;">
          <option>默认分组</option>
          <option>九折优惠</option>
        </select>
      </div>
      <div class="form-item">
        <label for="membershipCardNumber">会员卡号：</label>
        <input class="easyui-validatebox" placeholder="请输入" type="text" id="membershipCardNumber" name="membershipCardNumber" style="width: 150px;height: 30px;"/>
      </div>
      <div class="form-item">
        <label for="uniformCreditCode">企业统一信用代码：</label>
        <input class="easyui-validatebox" placeholder="请输入" type="text" id="uniformCreditCode" name="uniformCreditCode" style="width: 150px;height: 30px;"/>
      </div>
      <div class="form-item">
        <label for="membershipCardType">会员卡类型：</label>
        <select id="membershipCardType" class="easyui-combobox" placeholder="请选择" name="dept" style="width:130px;height: 30px;">
          <option>默认分组</option>
          <option>九折优惠</option>
        </select>
      </div>
      <div class="form-item">
        <label for="handlingName">办理人姓名：</label>
        <input class="easyui-validatebox" placeholder="请输入" type="text" id="handlingName" name="handlingName" style="width: 150px;height: 30px;"/>
      </div>
      <div class="form-item">
        <label for="handlingPhone">办理人电话：</label>
        <input class="easyui-validatebox" placeholder="请输入" type="text" id="handlingPhone" name="handlingPhone" style="width: 150px;height: 30px;"/>
      </div>
      <div class="form-item">
        <label for="checkoutOffers">结账优惠：</label>
        <input class="easyui-validatebox" placeholder="请输入" type="text" id="checkoutOffers" name="checkoutOffers" style="width: 150px;height: 30px;"/>
      </div>
      <div class="top-up-amount-form-item">
        <label class="top-up-amount-form-item-label">每人充值金额：</label>
        <div class="radio-content">
          <input class="easyui-radiobutton" name="package" value="100元 赠 10元" label="100元 赠 10元" checked>
        </div>
        <div class="radio-content">
          <input class="easyui-radiobutton" name="package" value="300元 赠 40元" label="300元 赠 40元">
        </div>
      </div>
      <div class="form-item">
        <label>会员卡名单：</label>
        <input class="easyui-filebox" style="width:300px">
      </div>
    </form>
    <div class="member-list">
      <table class="easyui-datagrid" data-options="ctrlSelect:true" style="width: 610px">
        <thead>
          <tr>
            <th data-options="field:'a1',width:50,align:'center'">序号</th>
            <th data-options="field:'a3',width:100,align:'center'">姓名</th>
            <th data-options="field:'a4',width:50,align:'center'">性别</th>
            <th data-options="field:'a5',width:100,align:'center'">出生日期</th>
            <th data-options="field:'a6',width:100,align:'center'">证件类型</th>
            <th data-options="field:'a7',width:150,align:'center'">证件号码</th>
            <th data-options="field:'a8',width:120,align:'center'">联系电话</th>
          </tr>
        </thead>
        <tbody>
          <tr>
            <td>1</td>
            <td>张三</td>
            <td>男</td>
            <td>1995-05-16</td>
            <td>身份证</td>
            <td>140181199505161410</td>
            <td>15600213698</td>
          </tr>
        </tbody>
      </table>
    </div>
    <div class="submit">合计：xxx元       收款</div>
  </div>
</body>
</html>
